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Red tape delays maternal morbidity study: problems and possible solutions.

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Obtaining research approval for severe acute maternal morbidity (SAMM) studies is excessively bureaucratic. Cumbersome processes significantly delay critical research into preventing serious obstetric conditions.

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Area of Science:

  • Obstetrics and Gynecology
  • Health Services Research
  • Medical Ethics

Background:

  • Researching severe acute maternal morbidity (SAMM) is crucial for improving maternal healthcare outcomes.
  • Navigating ethical and governance approval processes can be complex and time-consuming for researchers.

Purpose of the Study:

  • To detail the bureaucratic procedures for obtaining research ethics and governance approval for a study on severe acute maternal morbidity (SAMM).
  • To evaluate the impact of these approval processes on the timely execution of maternal health research.

Main Methods:

  • A retrospective, descriptive case study evaluated the ethics and governance approval process from 2022-2023.
  • The study focused on a retrospective audit of peripartum hysterectomy (a SAMM event) across five Australian public maternity facilities.
  • Key outcome measures included documentation, communication, personnel involved, submissions, and time to approval.

Main Results:

  • Ten data custodian approvals were necessary to access peripartum hysterectomy data from statewide databases and local records.
  • A total of 268 working days were required to obtain final ethics and governance approval.
  • The process involved extensive documentation, numerous communications, and multiple submissions.

Conclusions:

  • Overly complex research approval processes consume significant researcher time.
  • The current overregulation of low-risk obstetric research hinders the investigation and prevention of severe maternal conditions.